Shaping the future of Nursing crisis intervention

Revised

2006

Supplement

Enclosed

August 2002

Nursing Best Practice Guideline

Shaping the future of Nursing

crisis intervention

Greetings from Doris Grinspun Executive Director Registered Nurses Association of Ontario

It is with great excitement that the Registered Nurses Association of Ontario (RNAO) disseminates this nursing best practice guideline to you. Evidence-based practice supports the excellence in service that nurses are committed to deliver in our day-to-day practice.

We offer our endless thanks to the many institutions and individuals that are making RNAO's vision for Nursing Best Practice Guidelines (NBPGs) a reality. The Ontario Ministry of Health and Long-Term Care recognized RNAO's ability to lead this project and is providing multi-year funding. Tazim Virani --NBPG project director-- with her fearless determination and skills, is moving the project forward faster and stronger than ever imagined. The nursing community, with its commitment and passion for excellence in nursing care, is providing the knowledge and countless hours essential to the creation and evaluation of each guideline. Employers have responded enthusiastically to the request for proposals (RFP), and are opening their organizations to pilot test the NBPGs.

Now comes the true test in this phenomenal journey: will nurses utilize the guidelines in their day-to-day practice?

Successful uptake of these NBPGs requires a concerted effort of four groups: nurses themselves, other health-care colleagues, nurse educators in academic and practice settings, and employers. After lodging these guidelines into their minds and hearts, knowledgeable and skillful nurses and nursing students need healthy and supportive work environments to help bring these guidelines to life.

We ask that you share this NBPG, and others, with members of the interdisciplinary team. There is much to learn from one another. Together, we can ensure that Ontarians receive the best possible care every time they come in contact with us. Let's make them the real winners of this important effort!

RNAO will continue to work hard at developing and evaluating future guidelines. We wish you the best for a successful implementation!

Doris Grinspun, RN, MScN, PhD (candidate)

Executive Director Registered Nurses Association of Ontario

Nursing Best Practice Guideline

How to Use this Document

This nursing best practice guideline is a comprehensive document providing

resources necessary for the support of evidence-based nursing practice. The document needs to be reviewed and applied, based on the specific needs of the organization or practice setting, as well as the needs and wishes of the client. Guidelines should not be applied in a "cookbook" fashion but used as a tool to assist in decision making for individualized client care, as well as ensuring that appropriate structures and supports are in place to provide the best possible care.

Nurses, other health care professionals and administrators who are leading and facilitating 1

practice changes will find this document valuable for the development of policies, procedures, protocols, educational programs, assessment and documentation tools, etc. It is recommended that the nursing best practice guideline be used as a resource tool. Nurses providing direct client care will benefit from reviewing the recommendations, the evidence in support of the recommendations and the process that was used to develop the guidelines. However, it is highly recommended that practice settings adapt these guidelines in formats that would be user-friendly for daily use.

Organizations wishing to use the guideline may decide to do so in a number of ways: Assess current nursing and health care practices using the recommendations in the guideline. Identify recommendations that will address identified needs or gaps in services. Systematically develop a plan to implement the recommendations using associated tools and resources.

Implementation resources will be made available through the RNAO website to assist individuals and organizations to implement best practice guidelines. RNAO is interested in hearing how you have implemented this guideline. Please contact us to share your story.

Crisis Intervention

Guideline Development Panel Members

Joanne Walsh, RN, BA

Rosanna DiNunzio, RN, MSc, CPMHN(c)

Team Leader

Advanced Practice Nurse

Clinical Leader/Manager

Schizophrenia and

Crisis Services

Continuing Care Program

St. Michael's Hospital

Centre for Addiction and Mental Health

Toronto, Ontario

Queen Street Site

Toronto, Ontario

Jeannette LeGris, BN, MHSc

Vice-Team Leader

Paul Howe, RPN

2

Assistant Professor, School of Nursing

Oak Ridge Division

Faculty of Health Sciences

Penetanguishene Mental Health Centre

McMaster University

Penetanguishene, Ontario

Hamilton, Ontario

Pamela Khan, RN, MSc(A), CPMHN(c)

Lori Adler, RN, MHSc

Senior Lecturer

Operations Director

Faculty of Nursing

The Toronto Rehabilitation Institute

University of Toronto

Toronto, Ontario

Toronto, Ontario

Adele Bromley, RN, MSW, RSW

Program Manager North Bay & District Adult Community Mental Health Case Management Program North Bay, Ontario

Gundel Lee, RN, BA, CPMHN(c)

Patient Care Coordinator Mental Health Program York Central Hospital Richmond Hill, Ontario

Kristine Diaz, RN, MEd

Director London Mental Health Crisis Service London, Ontario

Nursing Best Practice Guideline

Crisis Intervention

Project team: Tazim Virani, RN, MScN

Project Director Anne Tait, RN, BScN Project Coordinator Heather McConnell, RN, BScN, MA(Ed.) Project Coordinator Carrie Scott Administrative Assistant Elaine Gergolas, BA Administrative Assistant

Registered Nurses Association of Ontario Nursing Best Practice Guidelines Project

111 Richmond Street West, Suite 1208 Toronto, Ontario M5H 2G4

Website:

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